The urologists at NewYork-Presbyterian Brooklyn Methodist Hospital include doctors with specialty training in prostate and bladder health, sexual dysfunction, and male infertility. They use medical and surgical treatments to manage a variety of urologic problems in men and improve quality of life.
Relieving the Symptoms of Enlarged Prostate
Benign prostatic hyperplasia (BPH) is one of the most common ailments among men, especially as they age. NewYork-Presbyterian Brooklyn Methodist offers the tests needed to diagnose BPH, including urodynamic testing to assess urine flow and cystoscopy to assess the prostate and bladder in select patients. Our urologists offer the full range of treatments for BPH and tailor your care to your individual needs. Medication and lifestyle changes (modifying fluid intake, reducing caffeine, making dietary changes) are often the first options. When these approaches are not sufficient to relieve your symptoms, we offer surgery and advanced technologies to reduce the size of the prostate, such as:
- Laser prostatectomy. We perform photoselective vaporization of the prostate (PVP or “GreenLight” laser) and holmium laser treatment to remove prostate tissue and relieve symptoms.
- Thermal vaporization treatment. Our doctor offer the Rezum procedure, which uses radiofrequency energy and thermal energy from steam to treat excess prostate tissue. This therapy can usually be done in a doctor’s office.
- Minimally invasive prostate surgery. Our surgeons are skilled in a variety of approaches to improve urinary flow. For example, during transurethral resection of the prostate (TURP), the urologist cuts and removes the prostate tissue that is blocking the urine from exiting the bladder. Men whose BPH is not well controlled using nonsurgical means may undergo prostate surgery.
Advanced Care for Erectile Dysfunction (ED)
Our doctors focus on determining the cause of ED and offer personalized treatment strategies based on the diagnostic evaluation. We prescribe oral medications and also specialize in treatments for men who do not respond to pills. These treatments include:
- Penile injection therapy, a non-surgical option that is often effective for men who do not respond to oral medication.
- Penile prosthesis implantation surgery, a permanent solution for moderate to severe erectile dysfunction. Our urologists are very experienced performing this procedure; we have the most active penile implantation practice in Brooklyn.
- Penile rehabilitation after prostate cancer surgery.
Treatment of Peyronie's Disease
Peyronie's disease is a common disorder in which scar tissue develops within the walls of the “erection chambers” in the penis, resulting in loss of penile stretch that appears as changes in the shape of the erect penis. These shape changes, such as curvature or indentations, can be painful and quite distressing. NewYork-Presbyterian Brooklyn Methodist offers:
- Comprehensive diagnostic assessment to assess penile shape changes and erectile function, which is a critical first step toward effective treatment.
- Penile injection therapy using Xiaflex or verapamil to stabilize and improve penile shape without surgery.
- Penile reconstructive surgery is an option for Peyronie’s disease that cannot be successfully treated using other approaches.
Diagnosing and Treating Male Infertility
Our urologists are specially trained in the evaluation and treatment of male infertility. Men contribute to infertility in about half of affected couples, and treating the male partner is often critical for a couple to achieve their reproductive goals. We collaborate with our colleagues in Gynecology and offer comprehensive evaluations as well as medical and surgical therapies for male infertility. For men who have surgery, our team employs state-of-the-art microsurgical approaches for varicocele surgery, sperm retrieval surgery, and vasectomy reversal.